NICHOLAS JAMES PEIFFER MD
NPI 1083817688
Otolaryngology in Frisco, TX

Active since June 09, 2007PECOS EnrolledAccepts Medicare Assignment
85.88/100
CMS Quality Rating
4401 COIT RD, SUITE 411, FRISCO, TX 75035(972) 731-7654 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicholas James Peiffer Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS JAMES PEIFFER MD (NPI 1083817688) is an individual otolaryngology provider in Frisco, Texas, licensed in Texas (M8915) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2005).

NPPES Registry Identity

NPI1083817688
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameNICHOLAS JAMES PEIFFERCredential: MD
Location Address4401 COIT RD, SUITE 411Frisco, TX 75035-0500
Mailing Address10740 N Gessner Rd Ste 310Houston, TX 77064-1240 · (281) 897-0416 · Fax (800) 876-1456
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2005
Enumeration DateJune 9, 2007
Last NPPES UpdateMay 2, 2023
NPPES CertifiedMay 2, 2023
NPI 1083817688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in TX · M8915
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

4401 COIT RD, Frisco, TX 75035

Other Identifiers 2

Other8M7403TX · Blue Cross Blue Shield
OtherBP2-0026683Institutional Permit

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicholas James Peiffer Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193874154
PECOS Enrollment IDI20090521000245
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
181 services149 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
139 services139 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
94 services12 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
73 services66 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
71 services57 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
71 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.42
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
39%56 patients2/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
92%1,423 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
23%1,282 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 88% · 556 patients
90%556 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
54%209 patients3/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 344 patients
0%344 patients5/55-star benchmark: 100%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
53%227 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
4401 COIT RD, SUITE 401
FRISCO, TX 75035
Audiologist (Assistive Technology Supplier)
4401 COIT RD, SUITE 411
FRISCO, TX 75035
Otolaryngology
4401 COIT RD, SUITE 411
FRISCO, TX 75035
Internal Medicine (Nephrology)
4401 COIT RD, SUITE 303
FRISCO, TX 75035
Audiologist
4401 COIT RD, SUITE 411
FRISCO, TX 75035
Audiologist
4401 COIT RD, SUITE NUMBER 411
FRISCO, TX 75035
Obstetrics & Gynecology
4401 COIT RD, SUITE # 205
FRISCO, TX 75035
Otolaryngology
4401 COIT RD, STE 411
FRISCO, TX 75035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Peiffer's NPI number?

The NPI number for Nicholas Peiffer is 1083817688. It was assigned to this individual provider in the NPPES registry on June 9, 2007.

Where is Nicholas Peiffer located?

Nicholas Peiffer practices at 4401 Coit Rd Suite 411, Frisco, TX 75035. The listed phone number is (972) 731-7654.

What is Nicholas Peiffer's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Nicholas Peiffer enrolled in Medicare?

Yes. Nicholas Peiffer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicholas Peiffer accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Nicholas Peiffer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Peiffer was last updated on May 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.